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Pediatric Utilization Review Nurse

Job in Boise, Ada County, Idaho, 83701, USA
Listing for: Connecticut Children's Medical Center
Full Time position Listed on 2026-11-12
Job specializations:
Salary/Wage Range or Industry Benchmark: 90000 - 120000 USD Yearly USD 90000.00 120000.00 YEAR

Job Description & How to Apply Below

Connecticut Children's Medical Center is seeking a licensed RN for Utilization Management within the Center for Care Coordination. The UR Nurse conducts concurrent and retrospective reviews to determine medical necessity, using Inter Qual and Milliman guidelines, and collaborates with payers and care teams to optimize care and resource use.

Candidates should have a BSN and at least three years of nursing experience, with knowledge of CMS guidelines and EPIC.

Our organisation is growing, and we are hiring a Pediatric Utilization Review Nurse in United States.

We are seeking a motivated Pediatric Utilization Review Nurse to join Connecticut Children's Medical Center in United States.

Consider building your career as a Pediatric Utilization Review Nurse at Connecticut Children's Medical Center.

The Pediatric Utilization Review Nurse position in the Bio & Pharmacology & Health field is open for applications.

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